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1043967078
LOGAN K SUSSMAN
HENDERSON, NV
NPI
1043967078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA2611)
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
LOGAN K SUSSMAN
880 SEVEN HILLS DR STE 260
HENDERSON, NV 89052-4373
Phone number: 702-990-4800
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Mailing Address
LOGAN K SUSSMAN
2285 CORPORATE CIR STE 200
HENDERSON, NV 89074-7759
Phone number: 702-360-2763
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